The growing evidence suggesting that COVID-19 infection related thromboembolic manifestations; especially with more reported prevalence of pulmonary embolism in such cases, in fact is related to local thrombotic environment mediated by the endothelium & the platelets to form the thrombi. This was suggested by the authors of a paper who introduced the term COVID-19-associated hemostasis abnormality (CAHA) depicted in lungs (6).